Individualized Care for At Risk Older Adults

为高危老年人提供个性化护理

• 批准号: 10205174
• 负责人: Kathryn Helene Bowles
• 金额: $ 51.15万
• 依托单位: UNIVERSITY OF PENNSYLVANIA
• 依托单位国家: 美国
• 财政年份: 2007
• 资助国家: 美国
• 起止时间: 2007-07-01 至 2024-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10205174
• 关键词: Elderly; Risk; personalized care

For the foreseeable future, addressing the complex health and social needs of the growing population of older adults with multiple chronic conditions (MCCs) and supporting their family caregivers, especially during frequent transitions in health, is a societal priority. This T32, Individualized Care for At-Risk Older Adults, based at the University of Pennsylvania School of Nursing (SON) where expertise in aging and transitional care research are hallmarks of our faculty, is uniquely designed to prepare nurse scholars who will address this challenge. Since 2007, this program has successfully prepared 15 PhD graduates and 13 postdoctoral fellows who are now pursuing successful scholarly careers and advancing science related to health and health care transitions of older adults. This proposed renewal, led by two highly experienced nurse scientists is supported by nine additional core and eight associated faculty in the SON with complementary programs of research. Our emphasis on team science is actualized with co-mentored training from 25 interprofessional Penn faculty external to nursing. Guided by the AHRQ Multiple Chronic Conditions Research Network's conceptual model, our training program will prepare four predoctoral and four postdoctoral nurse scientists appointed annually with the skills and knowledge to: 1) advance science related to the impact of frequent and complex transitions in health and health care on older adults with MCCs and their family caregivers, with particular emphasis on the role of nurses; 2) conduct research with the highest standards of rigor and integrity, using a team science approach, and employing contemporary and emerging research designs and methodologies; and 3) perform synthesis, dissemination, implementation and translation of research findings designed to inform and improve health care practices and policies. This renewal builds on our success and is responsive to dynamic population, research, and health care system changes through innovative program modifications. Specifically, this renewal expands the program's emphasis on care of chronically ill older adults to focus on the complex health and social needs of the growing population of older adults with multiple chronic conditions and their family caregivers. Further, we emphasize the longitudinal care of diverse and vulnerable subgroups of older adults with MCCs throughout multiple health transitions. We enhance our current training in research methods to include: (a) a broader range of designs with enhanced translational potential; (b) advanced data science; (c) sophisticated qualitative and mixed methods; and, (d) rigorous measurement of outcomes. Current attention to dissemination of individual study findings extends to a more robust focus on knowledge synthesis, implementation, and translation. The rich scientific base, resources and networks contributed by committed faculty mentors provide an excellent foundation and environment for this training grant. Building on our prior success, we will produce nurse scientists and leaders prepared to contribute scientific advances designed to have a major, positive impact on the care and outcomes of older adults with MCCs and their family caregivers.

在可预见的未来，满足不断增长的老年人口的复杂健康和社会需求 患有多个慢性病（MCC）并支持其家庭护理人员的成年人，尤其是在 健康经常过渡是社会优先事项。这个T32，对高危老年人的个性化护理， 位于宾夕法尼亚大学护理学院（儿子），衰老和过渡方面的专业知识 护理研究是我们教职员工的标志，是为了准备将解决这个问题的护士学者的独特设计 挑战。自2007年以来，该计划已成功准备了15名博士学位毕业生和13个博士后研究员 现在正在从事成功的学术职业并推进与健康和卫生保健有关的科学 老年人的过渡。这项提议的续约，由两位经验丰富的护士科学家领导 由九个核心和八个相关教师在儿子中通过互补的研究计划。我们的 强调团队科学的重点是通过25个专业专业教师的联合培训来实现的 护理外部。在AHRQ多个慢性条件研究网络的概念模型的指导下， 我们的培训计划将准备四个术前和四名博士后护士科学家每年任命 凭借以下技能和知识：1）与频繁和复杂过渡的影响有关的科学发展 在卫生和卫生保健方面对MCC及其家庭护理人员的老年人的健康和医疗保健，特别是 护士的作用； 2）使用团队科学进行严格和完整性的最高标准进行研究 方法，并采用当代和新兴的研究设计和方法论； 3）表演 旨在告知和改进的研究结果的综合，传播，实施和翻译 医疗保健实践和政策。这种更新以我们的成功为基础，对动态有回应 人口，研究和医疗保健系统通过创新计划的修改发生变化。具体来说， 这种更新扩大了该计划的重点对慢性病老年人的关注，以专注于综合体 多种慢性病的老年人不断增长的老年人的健康和社会需求及其 家庭护理人员。此外，我们强调了对年长的各种和脆弱子组的纵向护理 在多个健康转变中具有MCC的成年人。我们增强了目前的研究方法培训 包括：（a）具有增强转化潜力的更广泛的设计； （b）高级数据科学； （C） 精致的定性和混合方法； （d）严格测量结果。当前关注 个人研究结果的传播扩展到更强大的专注于知​​识综合， 实施和翻译。富有的科学基础，资源和网络由承诺贡献 教师导师为这项培训补助金提供了良好的基础和环境。建立在我们先前的 成功，我们将培养护士科学家和领导者，准备贡献旨在的科学进步 对MCC及其家庭护理人员的老年人的护理和成果产生重大的积极影响。